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General NPI Number Information
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NPI Number | 1639160666
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Entity Type | Individual
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Provider Name | JAMES E BENEDICT D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 10/31/2005
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Last Update Date | 12/01/2009
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Provider Practice Location Address
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Address Line | 1627 E MAIN ST
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City | KENT
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State | OH
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Zip | 44240-2875
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Country | US
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Telephone | 330-673-3505
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Fax | 330-673-4888
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Provider Business Mailing Address
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Address Line | 1627 E MAIN ST
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City | KENT
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State | OH
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Zip | 44240-2875
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Country | US
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Telephone | 330-673-3505
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Fax | 330-673-4888
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 36002148
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License Number State | OH
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